I have been on ADHD meds for about 7.5 years now. I started with Vyvanse and my dose was at 70mg in the first year. I was having bad crashes at night, so I switched to Adderall 40mg with 10mg Dexidrine and stayed on it for a few years. Recently, I switched to Concerta 90mg because my tolerance was getting too high and it wasn’t working anymore, hoping that by switching it will reset my tolerance. It didn’t. In fact, my tolerance drops to being feeling depressed/unmotivated in about 3 days now. So that sucks.
Taking breaks is agony for me. I have the worst stimulat headaches, no motivation, and can’t sleep. My doctor knows this but does nothing. He won’t raise my dose.
How do you guys manage? Thanks.
I just try my best to function without meds on the daily, and save the meds for times when my focus is most needed. It’s truly terrible. But, as much as stimulants help, they are really a bandaid, and will always end up in this cycle you’re experiencing.
Short of behavioral therapy, and/or switching away from stimulants, there’s not much more your doctor can do. Stimulants are hell on your heart, and increasing your dose would greatly increase the risk of heart issues, including sudden death.
Our society wasn’t built with people like us in mind, and no amount of chemical therapy will change that.
Consider a lower dosage of a long-lasting stimulant instead. You won’t feel a rush like instant release, but it’ll manage symptoms much more sustainably in the longer term. Shouldn’t be any issues for your heart this way (I’m monitored regularly and have never been healthier).
After being on stimulants for almost 30 years to treat my ADHD, I’ve tried every variation you can think of. I appreciate the suggestion though.
which one did you find was the best? like for long term use?
I don’t have much of a tolerance to any amphetamine based stimulants. 40mg of lisdexamfetamine at 6am works fine until I’m ready to sleep at 10pm. No break in this routine for two years. I mentioned tolerance effects to my psychiatrist and he considered them to be minimal with respect to the cognitive component.
I wonder what is going on in your case, perhaps you are metabolising the drug much faster than average? Is the stimulant effect noticeable within an hour of dosing and then it rapidly diminishes?
i just started 20mg of vyvanse after a hour i can start to feel it but idk if its helping more or hurting more i think its giving me amxiety my dr also gave me klonopin for the anxiety
